Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,737.80 / $18,620.87	Facility		$524.81	$1,737.80	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $933.25	Professional		$234.42	$389.05	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $870.96	Professional		$194.98	$338.84	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $1,122.02	Facility		$512.86	$645.65	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $1,096.48	Professional		$346.74	$588.84	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,148.15	Facility		$416.87	$660.69	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,047.13	Professional		$416.87	$660.69	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $851.14	Facility		$524.81	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $575.44	Facility		$354.81	$575.44	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,071.52	Professional		$380.19	$676.08	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,388.44	Facility		$1,202.26	$1,778.28	$3,388.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $870.96	Professional		$371.54	$575.44	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,570.40 / $5,754.40	Facility		$501.19	$2,570.40	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,047.13	Professional		$354.81	$537.03	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $602.56	Professional		$234.42	$426.58	$602.56